Maintenance and promotion of patient dignity is an ethical responsibility of healthcare workers. The aim of this study was to investigate patient dignity and related factors in patients with heart failure. In this qualitative study, 22 patients with heart failure were chosen by purposive sampling and semi-structured interviews were conducted until data saturation. Factors related to patient dignity were divided into two main categories: patient/care index and resources. Intrapersonal features (inherent characteristics and individual beliefs) and interpersonal interactions (communication, respect, enough (...) information, privacy, and authority) were classified as components of the patient/care index category. Human resources (management and staff) and environmental resources (facilities and physical space) were classified as components of the resources category. The results will increase healthcare staff's understanding of patient dignity and its related factors, and provide information regarding the development of systems and processes that support patients in ways that are consistent with these values. (shrink)

Davidson has always been explicit in his faithful adherence to the main doctrines of Quine’s philosophy of language, among which the indeterminacy of translation thesis is significant. For Quine, the indeterminacy of translation has considerable ontological consequences, construed as leading to a sceptical conclusion regarding the existence of fine-grained meaning facts. Davidson’s suggested reading of Quine’s indeterminacy arguments seems to be intended to block any such sceptical consequences. According to this reading, Quine’s arguments at most yield the conclusion that there (...) are always different ways of representing the facts about meaning, rather than the sceptical conclusion that there are no such facts. It is, however, puzzling how Davidson can endorse the main premises of Quine’s arguments, i.e. his general physicalistic view and his thesis of the indeterminacy of translation, and yet resist the arguments’ sceptical outcome. I will argue that Davidson’s construal of Quine’s thesis of the indeterminacy of translation is unjustified and faces a problematic dilemma. (shrink)

One of the major issues in the names and attributes of God, is the semantic interpretation of how to interpret and apply the concepts and predicates that talk about God. A historical survey proves that Imami theologians’ theological views are derived from the Qur'an and hadith. The Quran ascribed some attributes to God that prompted scholars to discuss and analyze the applicability of these concepts to God; accordingly, different views emerged Including Allameh Hilli’s apophaticism which is similar to the apophatic–cataphatic (...) way of Thomas Aquinas. We'll explain how three meanings of the apophatic-cataphatic. Erigena stated one of the meanings and Thomas Aquinas and Allameh Hilli stated another one which seems similar to each other. While Hilli’s negates the anti-attributes, Thomas negates the attributes which are specified to creatures. Then we explain the meaning of the attributes regarding creatures and God, and then, will discuss the “gradation theory” of Allame Hilli and “Analogy theory” of Thomas Aquinas. (shrink)

The late Professor Hossein Ziai's interests focused on the Illuminationist (Ishrāqī) tradition. Dedicated to his memory, this volume deals with the post-Avicennan philosophical tradition in Iran, and in particular the Illuminationist school and later philosophers, such as those associated with the School of Isfahan, who were fundamentally influenced by it. The focus of various chapters is on translations, editions, and close expositions of rationalist works in areas such as epistemology, logic and metaphysics rather than mysticism more generally, and also (...) on specific texts rather than themes or studies of individual philosophers. The purpose of the volume is to introduce new texts into the modern canon of Islamic and Iranian philosophy. Various texts in this volume have not been previously translated nor have they been the subject of significant Western scholarship. (shrink)

This paper argues that the informative and persuasive dichotomy of advertising is an empty concept. All advertising messages perform only one function and that function is to persuade. It is pointed out that in a moral appraisal of an advertising message, a distinction between rational and irrational persuasion can be made. Rational persuasion is consistent with the autonomy of the consumer and hence moral. Some forms of irrational persuasion may have an adverse effect on consumer autonomy and, therefore, should be (...) viewed as immoral. (shrink)

La rencontre de deux façons de croire transgressives, le moment pour Robert Hossein de partager les fruits de sa quête : " Il y a un âge, confie-t-il, où l'on a tout à redistribuer. " Croire, c'est moderne, rock'n roll, et quelquefois salvateur. Au fil de ce récit en forme de confidences croisées, Robert Hossein et Delphine de Malherbe nous invitent à renouer avec le spirituel dans cette société cynique, violente. Ils abordent avec émotion les grands thèmes qui (...) relient l'humain, l'art, la science et la foi. Selon eux, l'athéisme forme quelquefois les croyants les plus fervents, les mystiques les plus exigeants. Un livre bouleversant, mais sans optimisme béat, sur deux renaissances. (shrink)

"The most comprehensive and intelligent treatment of [religious ecology]....Nasr is one of the major intellects of our day."--Huston Smith, University of California, Berkeley.

In this paper, I introduce and elucidate what seems to me the best understanding of moral intuition with reference to the intellectual seeming account. First, I will explain Bengson’s (and Bealer’s) quasi-perceptualist account of philosophical intuition in terms of intellectual seeming. I then shift from philosophical intuition to moral intuition and will delineate Audi’s doxastic account of moral intuition to argue that the intellectual seeming account of intuition is superior to the doxastic account of intuition. Next, I argue that we (...) can apply our understanding of the intellectual seeming account of philosophical intuition to the moral intuition. To the extent that we can argue for the intellectual seeming account of philosophical intuition, we can have the intellectual seeming account of moral intuition. (shrink)

This thesis is an attempt to investigate the relation between the views of Wittgenstein as presented by Kripke and Donald Davidson on meaning and linguistic understanding. Kripke’s Wittgenstein, via his sceptical argument, argues that there is no fact about which rule a speaker is following in using a linguistic expression. Now, if one urges that meaning something by a word is essentially a matter of following one rule rather than another, the sceptical argument leads to the radical sceptical conclusion that (...) there is no such thing as meaning anything by any word. According to the solution Kripke’s Wittgenstein proposes, we must instead concentrate on the ordinary practice of meaning-attribution, that is, on the conditions under which we can justifiably ascribe meaning to each other and the utility such a practice has in our life. Davidson has also argued that following rules is neither necessary nor sufficient for explaining success in the practice of meaning something by an utterance. According to his alternative view of meaning, a speaker’s success in this practice is fundamentally a matter of his utterance being successfully interpreted by an interpreter in the way the speaker intended. On the basis of these remarks, Davidson raises objections to Kripke’s Wittgenstein’s sceptical argument and solution. In this thesis, I will argue that Davidson has failed to fully grasp the essentially sceptical nature of the argument and solution proposed by Kripke’s Wittgenstein. I will argue that as a result of this Davidson’s objections and his alternative solution to Kripke’s Wittgenstein’s sceptical argument are mistaken. These criticisms are pursued via an investigation of Davidson’s problematic reading of Quine’s sceptical arguments for the thesis of the indeterminacy of translation. Having criticized Davidson’s actual response to Kripke’s Wittgenstein, I will claim that Davidson’s best option for resisting the sceptical problem is to adopt a form of non-reductionism about meaning. Claudine Verheggen’s recent claim that Davidson’s use of the notion of triangulation will help to establish non-reductionism will be argued to be a failure. I will urge that the main obstacle in defending a non-reductionist view is the problem of accounting for the nature of self-knowledge of meaning and understanding. After discussing Davidson’s account of self-knowledge and Crispin Wright’s objection to this account, I will argue that, although Wright’s objection is ultimately unsuccessful, Davidson’s account fails for other reasons. Finally, I tentatively suggest that the resources for an alternative response to the sceptical problem can possibly be extracted from Davidson’s account of intending, which has some features suggestive of a judgement-dependent account of meaning and intention. (shrink)

We argue that sport in general, and association football in particular, are activities that invite spectators and players alike to talk about them. Using a Wittgensteinian approach, we argued more...

Background: Heart failure is a major growing problem and affects not only patients but also their families and community networks and reduces the functional capacity of patients and impairs their social life. Research questions: This study was conducted to investigate relationship between illness-related worries and social dignity in patients with heart failure. Design: The study had a descriptive-analytic design, and data collection was carried out by means of two specific questionnaires. Participants and context: A total of 130 inpatients from cardiac (...) wards in hospitals affiliated with Tehran and Shahid Beheshti University of Medical Sciences participated. Ethical consideration: This study was approved by the Research Committee of Shahid Beheshti University of Medical Sciences. Results: The highest mean score of illness-related worries was attributed to the dimension of patient’s worry of physical–mental complications, and the least mean score was related to the dimension of the worry about the future of disease. The highest mean score of social dignity was associated with the dimension of social communication and support, and the least is attributed to the dimension of burden to others (economic). Pearson’s statistical test showed a significant correlation (r = 0.455, p < 0.05) between the score of illness-related worries and social dignity. Discussion: As the result of this study showed that reducing illness-related worries in patients with heart failure can improve their social dignity, using strategies to decrease worries and promote social dignity in these patients is recommended. Conclusion: This study affirms the importance of careful evaluation of individual patients to determine their needs related to dignity. We hope these results will help to promote actions by patient-care staff that honor and support patient dignity, resulting in benefits to patients and developing the quality of care based on human rights. (shrink)

News media as both a site and a process of social interaction and ideological construction (van Dijk 1993) play a unique role and carry a signifying power in structuring social thinking and disseminating social knowledge on issues related to national or international agendas, and in representing events in particular ways (Fairclough 1995). Through a comparative analysis of 30 articles from four newspapers on the events of May 31, 2010 Gaza-bound aid flotilla raid and their aftermath, the present study examined the (...) discursive properties of the articles in the process of construction of the events and representation of their participants through in and out-group identity. Using van Dijk’s (1991) approach to news analysis and drawing on the analytical framework of transitivity and lexical cohesion proposed in Halliday (1994), the study investigated the representation of the events and social actors. The results revealed the links between choices of certain discourse strategies realized in certain linguistic forms and the role of ideologies and power relations underlying such forms and strategies. (shrink)

Margaret Atwood’s most distinguishing novel is The Handmaid’s tale. The novel has two narrators. First, the story is told in the first person through the eyes of a protagonist and ostensible narrator called Offred. Atwood describes the course of Offred’s daily life under the oppressive regime of a patriarchal theocracy governed by religious fundamentalists. Second, the entire meaning of Offred’s story is altered by the thirteen-page appendix ‘Historical notes on The Handmaid’s Tale’ narrated by Professor Pieixoto. He shocks and disorients (...) the reader who encounters it after having spent nearly 300 affecting pages with Offred and her narration. In this regard, two possible worlds are constructed in The Handmaid’s Tale as the results of Offred’s narration and Pieixoto’s narration. This paper aims to study these two worlds from the viewpoint of Slovenian philosopher Slavoj Žižek. Following Lacan, Žižek argues that fantasy provides a framework through which we see reality. They are anamorphic so that they presuppose a point of view, denying us an objective account of the world. Accordingly, there are two anamorphic symbolic orders, or two anamorphic levels, in the novel: the first phase of anamorphic perspective attributes to the handmaids’ fantasy and the second phase relates to readers of the novel. (shrink)

Background: Ethical studies in nursing are very important topics, and it is particularly crucial with vulnerable populations such as new graduated nurses. Neglecting ethical principles and violence toward graduates can lead to their occupational burnout, job dissatisfaction, and leaving the nursing profession. Objective: This study was designed with the aim of understanding the experience of Iranian experienced nurses’ use of lateral and horizontal violence against new graduated nurses. Research design: This qualitative study used a conventional content analysis approach; it was (...) conducted with 18 experienced nurses. Data were collected through unstructured and semi-structured interviews of various general hospital departments in northwest of Iran and analyzed using methods as described by Graneheim and Lundman. Ethical considerations: This study was approved by the Regional Committee of Medical Research Ethics. The ethical principles of voluntary participation, anonymity, and confidentiality were considered. Findings: “Psychological violence,” “Verbal violence,” “Physical violence,” and “Source of violence” were four categories extracted through data analysis. Discussion: Violence behaviors are instances of workplace maltreatment that damage individual nurses, quality of care, and the ethical climate of the healthcare settings. The lateral and hierarchical violence in nursing were explained by oppressed group model. Conclusion: This study provided the context for identifying details of various types of workplace violence against new graduated nurses. It should be approached as a health system priority that requires specific multi-dimensional methods to manage consisting of identification, strategic planning, policymaking, prevention, education, and research. (shrink)

One of the most challenging issues in medical ethics is a permission or prohibition of euthanasia. Is a patient with an incurable disease who has lots of pain permitted to kill oneself or ask others to do that? The main reason advanced by the opponents is the absolute prohibition of murder. Accordingly, the meaning of murder plays a key role in determining the moral judgment of euthanasia. The aim of this paper is to confirm the role of intention in moral (...) judgment of euthanasia and eliminate the name of unjust murder from voluntary euthanasia. The Intention of an agent determines the name of the act and whether it is right or wrong. An important point that dose not taken into account in the definitions of murder, killing as well as their ethical judgment is considering the attributes of being unjust and forcible. Killing a human being is neither intrinsically good nor bad, but its ethical judgment depends on the way that happens, i.e. just or unjust. Every killing is neither bad nor unethical except unjust one which is both bad and unethical. The attribute of “unjust” has been mentioned in the definition of murder in Islamic jurisprudence, law, traditions, and Quran. Owing to this argument, on one hand, it is true to state that voluntary euthanasia is not unjust and forcible murder (the test of correct negation), and on the other hand, it is not true to say that voluntary euthanasia is unjust and forcible murder (the test of incorrect predication). It can be concluded that voluntary euthanasia is an independent title other than unjust murder and does not have its judgment. (shrink)

Sinnott-Armstrong has attacked the epistemology of moral intuitionism on the grounds that it is not justified to have some moral beliefs without needing them to be inferred from other beliefs. He believes that our moral judgments are inferentially justified because the “framing effects” which are mostly discussed in the empirical psychology cast doubt on any non-inferential justification. In this paper, I argue that Sinnott-Armstrong’s argument is question begging against intuitionists and his description of epistemological intuitionism is a diluted version that (...) most of intuitionists do not believe, therefore he is not attacking the epistemological intuitionism in its strongest form. I then propose my alternative modest account of epistemological intuitionism. I also reconsider the concept of “non-inferentiality”, as one of the key elements of intuitionist epistemology, and propose a modest account of non-inferentiality. (shrink)

This paper raises a moral issue for contemporary post-revolutionary Muslim intellectuals in Iran. According to traditional Islamic philosophers such as Al-Ghazali, ethics, following what Prophet Mohammed said, must transcend people form this mundane world. If this is so, ethics would need to teach people how to improve their virtues. Most of the contemporary Muslim intellectuals tried to pave the way for accomplishing this goal. After clarifying the reasons why new Muslim intellectuals have faith in virtue ethics, as the best possible (...) moral normative theory, I claim that virtue ethics fails to support some of our modern problems, such as human rights. Also, I argue that virtue ethics is not the best theory for ordinary average people who have a weak will. A preliminary conclusion of the paper will be that Utilitarianism, generally, and principle of utility, specifically, can do this job better. This has been overlooked by new Muslim intellectuals, according to my opinion. Yet, I suggest that among different versions of Utilitarianism, Rule-Utilitarianism is more suitable for this role. (shrink)

The autonomy of chronic patients in Iranian hospitals is challenged by impaired functioning resulting from chronic illness, a negative image in society, and effects related to hospitalization. Comprehensive interviews and observations of 34 patients, nurses, and physicians were performed to assess the autonomy of chronic patients in Iran. Conceptualization, constant comparison, and the combination of data resulted in the identification of 5 main categories related to autonomy: welcoming paternalism, self-expression, self-proof, shared decision making, and self-determination. Authority scrambling was a central (...) category describing chronic patients’ perceptions of their autonomy during hospitalization. These patients sought to maintain their independence despite serious threats to their autonomy. (shrink)

The incorporation of technology by teachers as a teaching tool is a challenge. Our aim is to analyse whether ICT resources influence the use of pedagogical models and active methodologies by secondary school teachers in Melilla to teach Mathematics. In this cross-sectional quantitative study, a sample n= 61 (83.56% of the population) was evaluated using a validated 20-item questionnaire with three indicators: B.1 Methodologies and Pedagogical Models, B.2 Teaching Practice and C.3 ICT Resources in the teaching environment. Statistical power allows (...) extrapolation of the findings. (shrink)

Anti-realism was first introduced by Michael Dummett. He famously preferred to reduce issues about common sense metaphysics to issues about our statements and especially assertions about a certain sort of subject matters, such as those about the past, the physical world, and so on. On the basis of his view of metaphysical problems, he believes that we should initially choose an appropriate model of meaning and a proper conception of the notion of truth applicable to such linguistic statements. By doing (...) so, the dispute between realism and anti-realism can be rendered to a disagreement on the kind of meaning such statements may have. After criticizing the realist view, he goes on to claim that without having proper evidence, we cannot judge about the truth-value of our linguistic statements. To understand a sentence, according to Dummett, is to have the capacity of recognizing what would be counted as evidence for or against its truth. Therefore, an anti-realist believes that there can be no guarantee for every sentence to be true, independently of our epistemic capabilities and other relevant abilities. An advocate of realism, by contrast, admits the principle of bivalence and believes that all sentences are either true or false in terms of the reality which exists independently of us. In this essay, after introducing Dummett’s anti-realist view and his criticisms of realism, I am going to discuss the relationship between his desired theory of meaning and his view of anti-realism. (shrink)

Nostalgia as one of the complex emotions has been challenged over the past few decades due to its psychological and physiological functions. The present experiment investigates the effect of recalling nostalgic memories on amelioration of homeostatic and health state of people with cardiovascular disease. Method: The participants were 30 patients who were hospitalized for angiography procedure. The research was based on an experimental design with randomized and post-test groups. The instruments used included a thermometer with ° C, a checkout manipulation (...) test, a blood pressure monitor, an ice container and a manual timer, a pain intensity perception scale and Batcho’s nostalgia questionnaire. Results: The results showed that there was a significant difference between the two groups in perceived temperature, the resilience in the face of pain, and the perceived pain. The experimental group perceived higher temperature and showed greater resilience in the face of pain and also lower pain intensity was reported. There was no significant difference in blood pressure between the two groups. Conclusion: The results of this study provide significant evidence for the embodiment emotions hypothesis and positive role of Nostalgia in psychological and physiological homeostatic. Further practical implications of results and suggestions for future research were considered. (shrink)

The recent increase in the road transportation necessitates scheduling to reduce the adverse impacts of the road transportation and evaluate the effectiveness of previous actions taken in this context. However, it is impossible to undertake the scheduling and evaluation tasks unless previous information are available to predict the future. The grey model requires a limited volume of data for estimating the behavior of an unknown system. It provides high-accuracy predictions based on few data points. Various grey prediction models have been (...) proposed so far, in which three different approaches are followed to increase the accuracy: (1) data preprocessing, (2) improved equation models, and (3) error improvement or error balancing. In this paper, firstly, a theorem is proposed and proved to recognize the parameters affecting two grey models, namely GM(1, 1) and FGM(1, 1). Then, the effective parameters are adjusted through particle swarm optimization (PSO) to formulate two adjusted models, namely IGM(1, 1) and IFGM(1, 1). According to the simulation results of the proposed models, accuracy of the modeling improved by a minimum of 14.24% and a maximum of 82.39%. Finally, the number of users of a public road transportation system was predicted using the proposed models. The results showed enhanced accuracy (by 7.7%) of the proposed models for predicting the number of users of the public road transportation system. (shrink)

Background: Electroconvulsive therapy is one of the most effective treatments for major depressive disorder. Recently, there has been increasing attention to evaluate the effect of ECT on resting-state functional magnetic resonance imaging. This study aims to compare rs-fMRI of depressive disorder patients with healthy participants, investigate whether pre-ECT dynamic functional network connectivity network estimated from patients rs-fMRI is associated with an eventual ECT outcome, and explore the effect of ECT on brain network states.Method: Resting-state functional magnetic resonance imaging data were (...) collected from 119 patients with depression or depressive disorder, and 61 healthy participants, with an age mean of 52.25 years old. The pre-ECT and post-ECT Hamilton Depression Rating Scale were 25.59 ± 6.14 and 11.48 ± 9.07, respectively. Twenty-four independent components from default mode and cognitive control network were extracted, using group-independent component analysis from pre-ECT and post-ECT rs-fMRI. Then, the sliding window approach was used to estimate the pre-and post-ECT dFNC of each subject. Next, k-means clustering was separately applied to pre-ECT dFNC and post-ECT dFNC to assess three distinct states from each participant. We calculated the amount of time each subject spends in each state, which is called “occupancy rate” or OCR. Next, we compared OCR values between HC and DEP participants. We also calculated the partial correlation between pre-ECT OCRs and HDRS change while controlling for age, gender, and site. Finally, we evaluated the effectiveness of ECT by comparing pre- and post-ECT OCR of DEP and HC participants.Results: The main findings include depressive disorder patients had significantly lower OCR values than the HC group in state 2, where connectivity between cognitive control network and default mode network was relatively higher than other states, Pre-ECT OCR of state, with more negative connectivity between CCN and DMN components, is linked with the HDRS changes. This means that those DEP patients who spent less time in this state showed more HDRS change, and The post-ECT OCR analysis suggested that ECT increased the amount of time DEP patients spent in state 2.Conclusion: Our finding suggests that dynamic functional network connectivity features, estimated from CCN and DMN, show promise as a predictive biomarker of the ECT outcome of DEP patients. Also, this study identifies a possible underlying mechanism associated with the ECT effect on DEP patients. (shrink)

The meaning of a science rooted in the sacred, its contrast to modern science and its pertinence to us today.

Covering moral intuition, self-evidence, non-inferentiality, moral emotion and seeming states, Hossein Dabbagh defends the epistemology of moral intuitionism. His line of analysis resists the empirical challenges derived from empirical moral psychology and reveals the seeming-based account of moral intuitionism as the most tenable one. The Moral Epistemology of Intuitionism combines epistemological intuitionism with work in neuroethics to develop an account of the role that moral intuition and emotion play in moral judgment. The book culminates in a convincing argument about (...) the value of understanding moral intuitionism in terms of intellectual seeming and perceptual experience. (shrink)

RésuméJe soutiendrai que la façon dont Davidson rend compte de l'intention pure peut être comprise comme une analyse de l'intention comme étant relative à un jugement dans une perspective en première personne. Selon Davidson, avoir la pure intention de faire A, c'est formuler un jugement tout bien considéré qu'il est désirable de faire A. Dans cette analyse anti-réductionniste, l'intention est traitée comme un état irréductible du sujet. J’établirai une comparaison entre cette analyse et celle de Wright et je montrerai comment (...) la position de Davidson peut être considérée comme une analyse non-réductionniste rapportant l'intention au jugement, selon les directions suggérées par Wright. J'expliquerai ensuite comment cette analyse peut aider à éclaircir diverses difficultés qui se présentent dans la conception que Davidson se fait ultérieurement de la signification et du contenu mental. (shrink)

Freire and Environmentalism: Ecopedagogy, as a compelling addition to the Freire in Focus series, delves into the intersection of Freirean environmental teaching and broader environmentalism. Thoug...

Everybody acknowledges the importance of Socrates’ role and influence on the history of philosophy, as well as on the culture of humanity. He is also considered to be the first martyr of virtue and wisdom in human history. In spite of this, even though most Western commentators recognize the elevated meanings and high level of Socratic wisdom, they refuse to consider it to have a supra-human source and to be divine prophecy. In this article and through the analysis of Socrates’ (...) words and speeches, which can be found in authentic sources such as some of Plato’s writings, the author aims to prove the truth of Socrates’ claim according to which he had the gift of prophecy. By putting together rational proofs and historical clues from his life, we will underline the veracity of such a claim. A part of the article will be dedicated to underlining the fact that our reasoning is based on authentic and historical references of Socrates’ speeches, which are mainly mentioned in Plato’s Apology. By quoting the main and most important commentators’ views in this field, we will therefore endeavor to show that there is a sort of general consensus among most commentators to consider this treatise to be an historical document. The importance as well as main outcome of this article is that if we accept this theory, the general outlook of the history of philosophy will change radically. In addition, the claim that wisdom has a divine source, which is mentioned repeatedly in the content of divine wise men’s words and in some Islamic traditions, will be confirmed. Moreover, the link between spiritual truths and human reasoning will be corroborated and underlined. (shrink)

Background: To provide care with high quality, nurses face a number of moral issues requiring them to have moral abilities in professional performance. Moral sensitivity is the first step in moral performance. However, its relation to the quality of care patients receive is controversial. Research objective: This study aims to determine the relationship between the moral sensitivity of nurses and the quality of care received by patients in the medical wards. Research design: A descriptive correlational study using validated tools, including (...) Moral Sensitivity Questionnaire and the Quality Patient Quality Scale. Participants and research context: In total, 198 nurses and 198 patients in 17 medical wards of hospitals affiliated with Tabriz University of Medical Sciences, Iran. Ethical considerations: The study was reviewed and approved by the Ethics Committee of Tabriz University of Medical Sciences. Findings: The mean values of nurses’ moral sensitivity and nurses’ quality care were 136.47 ± 13.30 and 196.36 ± 44.10, respectively. There was no significant relationship between the patient care quality and nurses’ moral sensitivity ( r = −.14, p =.5). However, there was a significant inverse relationship between the dimension of “Experiencing moral conflicts” and the overall score of quality care ( r = −.50, p =.04), the dimensions of “psychosocial ( r = −.50, p =.04)” and “physical ( r = −.50, p =.03).” Conclusion: Considering the significant inverse relationship between the score of patient quality care and the dimension of moral conflict experience, it seems when nurses make moral decisions, they experience a conflict between personal and professional values in their careers and thus experience moral tension. If this tension is not resolved properly, it can provide a way for them to distance themselves from patients, thereby making nurses indifferent to moral care. (shrink)